A client is upset after being disqualified from a race. Which nutritional action most likely caused the client to be disqualified?
a. Dehydration
b. Low iron levels
c. Increased carbohydrate intake prior to the race
d. Use of a dietary supplement with an unlisted banned substance as an ingredient
d. Use of a dietary supplement with an unlisted banned substance as an ingredient
Dietary supplements can include unlisted ingredients that have been banned in competition. Dehydration and low iron levels are not monitored but can have a negative impact on athletic ability. Carbohydrate intake is not regulated by race officials.
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The nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2 weeks. Which complication does the nurse document and report?
a. Diverticulitis b. Stress diarrhea c. Curling's ulcer d. Perforated bowel
An 85-year-old client with diabetes, heart disease, and renal insufficiency is admitted. What action should the nurse take to prevent falls by this particular client?
A. Provide assistance to the client in getting out of the bed or chair. B. Place the client in restraints to prevent movement without assistance. C. Maintain the client on complete bedrest with the siderails up at all times. D. Request that a family member remain with the client at all times to assist in am-bulation.
A patient who has been prescribed verapamil (Calan) develops skin lesions, itching, achy joints, and a temperature of 101o F. What is your best action?
a. Administer an as-needed dose of diphenhydramine (Benadryl). b. Contact the prescriber and request an order for acetaminophen 650 mg. c. Draw a set of blood cultures to detect any infection. d. Hold the drug and notify the prescriber.
An older client who takes digoxin has not eaten in 2 days. Which finding most concerns the nurse?
1. The client is experiencing nausea and vomiting. 2. A new prescription for an antacid is administered. 3. A recent weight loss of several pounds is documented. 4. The client is exhibiting weakness and visual disturbances